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Exam 2.4

QuestionAnswer
Induction protocol; what is required Not before 39 weeks without amniocentesis and must have a diagnosis to induce.
What are relevant diagnoses for the induction of labor? GDM, PIH, PROM, Chorioamnionitis, postterm, fetal demise, IUGR, oligohydramnios, nonreassuring fetal status.
What is the #1 reason babies are admitted to the NICU respiratory distress
What are the methods to induce labor Cervical ripening, oxytocin IV, foley balloon, nipple stimulation
What is cytotec? A medication that softens the cervix. Used every 2-3 hours
What is cervidil Suppository, the positive is you can remove the medication if something happens because of its tampon shape.
What is prostaglandin? A vaginal gel for ripening.
Oxytocin iv function Creates contractions, but does not cause dilation. Increase oxytocin every 20-30 minutes.
Foley balloon Puts pressure on the cervix until its 4 cm dilated, then it falls out.l
Rolling nipples in the hands causes the release of Oxytocin
How are contractions monitored during labor? TOCO or IUPC.
What is a TOCO An external monitor, hardness pushes on the button. Does not measure intensity of contractions but only duration.
What is an IUPC? Intrauterine pressure catheter. When uterus contracts it tells you the exact intensity of the contractions. If there is strong contractions and the mother isn't dilating, may have to consider C section.
What is the normal duration of a contraction? 60-90 seconds
How many contractions are normally in a 10 minute cycle? 5
Coupling/tripling of contractions is indicative of what fetal position? What might the mom complain of? Coupling/tripling of contractions is indicative of occiput posterior, mom may complain of back pain and longer labor.
What is a tetanic contraction? Sustained, intense contraction lasting longer than 90 seconds.
Where is an electric fetal monitor placed? On the mothers belly.
Where is an internal fetal monitor placed? The babys head
 

 



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